Employee Health and Safety Induction Training Record

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1 COMPANY NAME Employee Health and Safety Induction Training Record Employee name Job Title Department Start Date - PBS 2010/2 Employee Health & Safety Induction Training Record Page 1 of 6

2 INDUCTION TRAINING RECORD Health and Safety training is a legal requirement for all new members of staff. It is therefore, company policy to ensure that all new employees are given sufficient information, instruction and training to enable them to carry out their duties in safety and with minimum risk to themselves and others who may be affected by their or our activities. Use the TAB key or mouse to move between cells. Use SHIFT + TAB to move back through the form. Type or select your entry at the cursor. Go through each item on the list and tick box if completed. If a subject area has not been dealt with, enter No in the box and be sure to return to it later! Fire Safety Notes Has the fire warning system been explained to you (location of call points, sound of alarm etc.)? Has the means of escape been demonstrated to you from the areas in which you will work? Have you been shown the location of the fire assembly point where you must report in the event of a fire or emergency evacuation? Has the action to be taken in the event of a fire been made clear? Has the location of the nearest fire fighting equipment been shown? Has the periodic fire drill been explained? Has the necessity for keeping fire doors closed been emphasised? Has the relevant Fire, First Aid & Emergency Contacts Notice attached to this training record been completed and explained to you? First Aid Have the emergency first aid procedures been explained? Has the location of the nearest first aid kit been shown? Do you know who to contact if you or someone else needs first aid? Have the procedures for reporting accidents and incidents been explained? Is the Accident Book readily available to you? Welfare Facilities Have the facilities for taking rest breaks been explained to you? Have you been made aware of where you may eat and drink? Have you been shown the location of toilet facilities? Have you been shown the location of hand-washing facilities? Have you been shown where personal clothing is left whilst at work? General Safety Issues Has it been explained to you where to go, who to call, who to ask for help and advice regarding safety issues? Have you undertaken a tour of the workplace? Do you know what to do to report defective equipment? Has the hazard reporting procedure been explained to you? - PBS 2010/2 Employee Health & Safety Induction Training Record Page 2 of 6

3 Have you been made aware of the risks associated with work tasks that you are expected to carry out? Have any safe methods of working been communicated to you? Has it been made clear that gangways, exits etc. must always be kept clear of obstructions? Have those areas that have restricted access (if any) been explained? Has the meaning of any safety signs (if relevant) been explained? Have the rules on smoking been explained to you? Has the necessity for wearing any protective clothing been made clear (if relevant)? Have you signed for receipt of this equipment? Has attention been drawn to lifting and handling assessments and procedures where relevant? Have you been made aware of the company Health and Safety policy? Have you read and understood the organisation s Employee Health and Safety Handbook and signed to verify understanding of it? Think safely. Do not do anything that you are not trained to do. Workplaces can be dangerous places. Slips, trips and falls are a major accident cause. Ensure that your work area is kept clean and tidy at all times. INDUCTION CARRIED OUT BY: on IF IN DOUBT ASK YOUR SUPERVISOR OR LINE MANAGER! Re-enter name to confirm that a completed copy of this checklist was handed to the new employee A printed copy of this checklist will be retained in your personnel file. Please sign here to acknowledge that you have received and understood this induction training. Employee signature. Date. Information for Young Persons (16-18 year olds) IF YOU ARE UNDER THE AGE OF 18 YOU ARE CONSIDERED TO BE A YOUNG PERSON AND AS SUCH A SPECIFIC RISK ASSESSMENT WILL BE UNDERTAKEN WITH YOU AND YOUR LINE MANAGER BEFORE YOU COMMENCE WORK. 1. Young persons are not allowed to operate any equipment unless they have received formal instruction and training on its use and safe operation. 2. The Employee Safety Handbook that has been issued to you contains further information that you should read and UNDERSTAND. If you are unsure on any aspect of your job or the information you have been given, you should ask your Supervisor immediately. Do not ASSUME anything - ASK FIRST!! - PBS 2010/2 Employee Health & Safety Induction Training Record Page 3 of 6

4 There are two Fire, First Aid & Emergency Contacts Notices attached to this Employee Induction Training Pack. The first is for use in premises where passenger or goods lifts are used. The second is for use in premises where there are no lifts. Complete the appropriate notice and hand it to the new employee. Destroy the one that is not required. - PBS 2010/2 Employee Health & Safety Induction Training Record Page 4 of 6

5 FIRE ACTION NOTICE Raise or sound the alarm Site Personnel with Fire Safety Responsibility Responsible Person: Fire Safety Manager: Deputy: Fire Wardens/ Marshalls: First Aid First Aider(s) or Emergency First Aider(s) Alert the Fire Brigade Dial: 999 Only attack the fire if it is safe and you have been trained to do so Leave by the nearest fire exit Go to the assembly point at Emergency Contacts Dial 999 or 112 for Ambulance, Fire or Police Be ready to provide the following information: * Location of the emergency * Nature of the incident * Your name Emergency Service Hospital: Doctor Ambulance Local Police Fire Brigade Enforcing Authority HSE or Local Authority: Gas Service: Electricity Service: Telephone Appointed Person(s) Location of First Aid Kit(s) Location of First Aid Treatment/ Accident Records Do not run Do not return into the building Only return when authorised to do so 2010/1 Peninsula Business Services Ltd

6 FIRE ACTION NOTICE Raise or sound the alarm Alert the Fire Brigade Dial: 999 Only attack the fire if it is safe and you have been trained to do so Site Personnel with Fire Safety Responsibility Responsible Person: Fire Safety Manager: Deputy: Fire Wardens/ Marshalls: Emergency Contacts Dial 999 or 112 for Ambulance, Fire or Police Be ready to provide the following information: * Location of the emergency * Nature of the incident * Your name First Aid First Aider(s) or Emergency First Aider(s) Appointed Person(s) Leave by the nearest fire exit Emergency Service Hospital: Doctor Telephone Location of First Aid Kit(s) Go to the assembly point at Ambulance Local Police Fire Brigade Do not use lifts! Enforcing Authority HSE or Local Authority: Gas Service: Location of First Aid Treatment/ Accident Records Electricity Service: Do not run Do not return into the building Only return when authorised to do so 2010/1 Peninsula Business Services Ltd

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